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| Nursing intervention effect of HFMEA mode after hepatocellular carcinoma perfusion embolization intervention |
| TANG Fen1 XU Xuan1 LIU Huilian1 YU Xiaoxiang2▲ |
1.Department of Medical Imaging, Qinhuai Medical District, Eastern Theater General Hospital, Jiangsu Province, Nanjing 210002, China;
2.Department of Cardiology, Qinhuai Medical District, Eastern Theater General Hospital, Jiangsu Province, Nanjing 210002, China
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Abstract Objective To explore the nursing intervention effect of healthcare failure mode and effect analysis(HFMEA) mode after hepatocellular carcinoma perfusion embolization intervention. Methods A total of 184 patients with liver cancer who underwent perfusion embolization interventional surgery in Qinhuai Medical District, Eastern Theater Command General Hospital from January 2021 to December 2021 were selected as the study objects. The patients were divided into intervention group and conventional group according to the admission odd-even number, with 92 cases in each group. The intervention group adopted nursing intervention measures based on HFMEA model, and the conventional group adopted routine nursing intervention measures. The changes of cancer-induced fatigue score, quality of life score, serum alpha-fetoprotein (AFP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and C-reactive protein (CRP) before and after intervention were compared between the two groups, and the occurrence of toxic and side effects were compared between the two groups. Results After intervention, somatic fatigue score, emotional fatigue score, cognitive fatigue score, and total cancer-related fatigue score in both groups were lower than before intervention, and those of the intervention group were lower than those of the conventional group (P＜0.05); after intervention, the physical status, social/family status, emotional status, functional status, and total quality of life score in both groups were higher than before intervention, and those of the intervention group were higher than those of the conventional group (P＜0.05). After intervention, the values of AFP, ALT, AST, and CRP in both groups were lower than before intervention (P＜0.05). During embolization chemotherapy, the degree of nausea and vomiting reaction in the intervention group was significantly lower than that in the conventional group, and the difference was statistically significant (P＜0.05). Conclusion The nursing intervention based on HFMEA model can significantly improve the quality of life, reduce the degree of cancer fatigue, and reduce the degree of toxic and side effects after the interventional operation of liver cancer perfusion embolization.
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